INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
NPI 1356835045
Podiatrist - Foot & Ankle Surgery in Grand Junction, CO
NPI Status: Active since June 18, 2018
Contact Information
627 25 1/2 RD
GRAND JUNCTION, CO
ZIP 81505
Phone: (970) 242-3535
Fax: (970) 683-2745
- Organization
- Podiatrist
- Foot & Ankle Surgery
- CLIA Number: 06D2233084
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-14-2027
About INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
This page provides the complete NPI Profile along with additional information for Intermountain Medical Group Grand Junction, Llc, a provider established in Grand Junction, Colorado operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1356835045 assigned on June 2018. The practitioner's primary taxonomy code is 213ES0103X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jon Mcdaniel (Vp Finance Mgps)
- NPI
- 1356835045
- Provider Name
- INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
- Entity Type
- Organization
- Location Address
- 627 25 1/2 RD GRAND JUNCTION, CO 81505
- Location Phone
- (970) 242-3535
- Location Fax
- (970) 683-2745
- Mailing Address
- 500 ELDORADO BLVD STE 6250 BROOMFIELD, CO 80021
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-18-2018
- Last Update Date
- 06-28-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Podiatrist Foot & Ankle Surgery
- Taxonomy Code
- 213ES0103X
- Type
- Podiatric Medicine & Surgery Service Providers
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 06D2233084
- Facility Type
- Physician Office
- Certificate Effective Date
- February 15, 2025
- Certificate Expiration Date
- February 14, 2027
- Laboratory Director
- DR. STEVEN GAMMON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Intermountain Medical Group Grand Junction, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1356835045, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
GRAND JUNCTION, CO 81505
GRAND JUNCTION, CO 81505
GRAND JUNCTION, CO 81505
GRAND JUNCTION, CO 81505
GRAND JUNCTION, CO 81505
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356835045, enumerated as an "organization" on June 18, 2018.
The provider is located at 627 25 1/2 RD GRAND JUNCTION, CO 81505 and the phone number is (970) 242-3535.
Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.
